In Canada, each province has its own health system.

In the richest province, Alberta, where I live, we pay premiums for health every 3 months - I have prescr insurance thru Blue Cross (which I get only thru Alberta Health). Extra premiums.

No, the premiums won't break me and some folks have company insurance.

But I will wait three times as long for a "free" knee replacement etc

In Alberta, several women with at-risk pregnancies had to have their babies in another province and in the USA because there were not enough beds.

Baby Boomers mean lots of people in need, and not enough nurses, doctors etc. We have doctors leaving general practice because their pay does not meet overhead.

Just a POV from the north.